SPECTRUM MEDICAL GROUP PA NPI 1801878632

NPI Information

NPI: 1801878632
Provider Name: SPECTRUM MEDICAL GROUP PA
Classification: Internal Medicine - 207RC0200X
Specialization: Critical Care Medicine
Entity Type: Organization
Doing Business As: SALEM CHEST SPECIALISTS
CLIA Number: 34D0237600
Address: 3001 LYNDHURST AVE
WINSTON-SALEM, NC
ZIP 27103
Phone: (336) 765-0383

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NPI Details

SPECTRUM MEDICAL GROUP PA is a critical care medicine internal medicine in Winston-salem, NC. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. SPECTRUM MEDICAL GROUP PA NPI is 1801878632. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Salem Chest Specialists.

The provider's business location address is:

3001 LYNDHURST AVE
WINSTON-SALEM, NC
ZIP 27103-007
Phone: (336) 765-0383
Fax: (336) 760-6918

The provider's authorized official is Tammy Ferrell .
The authorized official title is Administrator and has the following contact phone number (336) 765-0383.

The CLIA number assigned to this NPI record is 34D0237600 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2005 and was last updated on 4/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207RP1001X	Internal Medicine	Pulmonary Disease	No
2	207RS0012X	Internal Medicine	Sleep Medicine	No
3	207RC0200X	Internal Medicine	Critical Care Medicine	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02258	OTHER	NORTH CAROLINA	BCBS
2	8902258	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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